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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Antigrain Tablet is indicated to treat and prevent migraine. It is used to relieve the symptoms at the first sign of a migraine attack and to prevent the worsening of the attack. It narrows the blood vessels in the brain and also affects the blood flow patterns associated with headaches. Also, it prevents nausea and vomiting associated with migraine. It may cause common side effects, such as stomach upset, dizziness, dry mouth, constipation, and insomnia (trouble sleeping).
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About Antigrain Tablet

Antigrain Tablet is indicated to treat and prevent migraine. Antigrain Tablet is used to relieve the symptoms at the first sign of a migraine attack and to prevent the worsening of the attack. Migraine is a neurological condition which is characterised by an intense pulsating, throbbing, pounding, debilitating headache which usually occurs on one side of the head; however, it can occur on both sides or shift.
 
Antigrain Tablet is a combination of four drugs, namely: Ergotamine (ergot alkaloid), caffeine (methylxanthine), prochlorperazine (anti-emetic) and paracetamol (analgesic). Ergotamine works by narrowing the blood vessels in the brain and also affects the blood flow patterns associated with headaches. Caffeine enhances the vasoconstrictive effect (narrowing of blood vessels). Prochlorperazine prevents nausea and vomiting associated with migraine by modifying the effects of neurotransmitters. Paracetamol blocks the release of prostaglandins that cause pain.
 
You are advised to take Antigrain Tablet as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as stomach upset, dizziness, dry mouth, constipation, and insomnia (trouble sleeping). Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
 
Antigrain Tablet contains paracetamol; do not take other medicines containing paracetamol along with Antigrain Tablet unless prescribed. Do not take Antigrain Tablet if you are pregnant or breastfeeding. Antigrain Tablet may cause drowsiness and dizziness, so drive with caution. Antigrain Tablet should not be given to children as safety and efficacy have not been established. Avoid consuming alcohol with Antigrain Tablet as it could lead to increased drowsiness and dizziness. Keep your doctor informed about your health condition and medicines to rule out any side effects/interactions.

Uses of Antigrain Tablet

Treatment of Migraine.

Directions for Use

Take Antigrain Tablet with or without food. Swallow Antigrain Tablet as a whole with a glass of water; do not chew or break it.

Medicinal Benefits

Antigrain Tablet is a combination of four drugs, namely: Ergotamine, caffeine, prochlorperazine, and paracetamol. Antigrain Tablet is indicated to treat and prevent migraine. Ergotamine is an ergot alkaloid that works by narrowing the blood vessels in the brain and also affects the blood flow patterns associated with headaches. Caffeine is a methylxanthine that enhances the vasoconstrictive effect (narrowing of blood vessels). Prochlorperazine is an anti-emetic that prevents nausea and vomiting associated with migraine by modifying the effects of neurotransmitters. Paracetamol is an analgesic that blocks the release of prostaglandins that cause pain. Antigrain Tablet is used to relieve the symptoms at the first sign of a migraine attack and to prevent the worsening of the attack.

How Antigrain Tablet Works

Antigrain Tablet is a combination of four drugs, namely: Ergotamine (ergot alkaloid), caffeine (methylxanthine), prochlorperazine (anti-emetic) and paracetamol (analgesic). Ergotamine works by narrowing the blood vessels in the brain and also affects the blood flow patterns associated with headaches. Caffeine enhances the vasoconstrictive effect (narrowing of blood vessels). Prochlorperazine prevents nausea and vomiting associated with migraine by modifying the effects of neurotransmitters. Paracetamol blocks the release of prostaglandins that cause pain.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Antigrain Tablet

  • Stomach upset
  • Dizziness
  • Dry mouth
  • Constipation
  • Insomnia (trouble sleeping)

What if I have taken an overdose of Antigrain Tablet

Do not take more than the prescribed dose of Antigrain Tablet as it may cause overdose. If you suspect you have taken overdose, please consult a doctor immediately.

Drug Warnings

Do not take Antigrain Tablet if you are allergic to any of its contents; if you have/had heart problems, blood circulation problems or if you are taking antibiotics, anti-fungal, anti-HIV or other anti-migraine medicines. Antigrain Tablet, when taken along with antibiotics, anti-fungal, anti-HIV drugs, could lead to unpleasant side-effects such as poor blood flow to hands, feet, or brain. Antigrain Tablet contains paracetamol, do not take other medicines containing paracetamol along with Antigrain Tablet unless prescribed. Inform your doctor before taking Antigrain Tablet if you have/had high blood pressure, heart problems, high cholesterol, diabetes, asthma, liver and kidney problems. Do not take Antigrain Tablet if you are pregnant or breastfeeding. Antigrain Tablet may cause drowsiness and dizziness, so drive only if you are alert. Antigrain Tablet is not recommended for children as safety and effectiveness have not been established. Avoid consuming alcohol with Antigrain Tablet as it could lead to increased drowsiness. Do not take any other NSAIDs for pain relief along with Antigrain Tablet unless prescribed. 

Drug-Drug Interactions

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ProchlorperazineMetoclopramide
Critical
ProchlorperazineMesoridazine
Critical

Drug-Drug Interactions

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ProchlorperazineMetoclopramide
Critical
How does the drug interact with Antigrain Tablet:
Coadministration of metoclopramide and Antigrain Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Metoclopramide with Antigrain Tablet together is generally avoided as it can possibly result in an interaction, they can be taken together if advised by your doctor. However, if you experience muscle spasm or movements that you can't stop or control, such as lip smacking, chewing, puckering, frowning or scowling, tongue thrusting, teeth clenching, jaw twitching, blinking, eye rolling, shaking or jerking of arms and legs, tremor, jitteriness, restlessness, pacing, and foot tapping, consult the doctor. Do not stop taking any medications without consulting a doctor.
ProchlorperazineMesoridazine
Critical
How does the drug interact with Antigrain Tablet:
Coadministration of mesoridazine and Antigrain Tablet can increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Taking mesoridazine with Antigrain Tablet is not recommended, but it can be taken together if prescribed by a doctor. However, contact your doctor if you experience drowsiness, lightheadedness, fainting, shortness of breath, or an irregular heartbeat. Do not stop taking any medications without consulting a doctor.
CaffeineLinezolid
Critical
How does the drug interact with Antigrain Tablet:
Taking these two together can cause your blood pressure to rise, a condition known as a hypertensive crisis.

How to manage the interaction:
Taking Antigrain Tablet with Linezolid is not recommended, please consult your doctor before taking it. It can be taken if your doctor prescribes it. Do not stop taking any medication without consulting your doctor.
CaffeinePhenelzine
Critical
How does the drug interact with Antigrain Tablet:
Taking these two together can cause your blood pressure to rise, a condition known as a hypertensive crisis.

How to manage the interaction:
Taking Antigrain Tablet with Phenelzine is not recommended, please consult your doctor before taking it. They can be taken if your doctor advises it. Do not stop taking any medication without consulting your doctor.
CaffeineTranylcypromine
Critical
How does the drug interact with Antigrain Tablet:
Coadministration of tranylcypromine with Antigrain Tablet can in cause severe high blood pressure.

How to manage the interaction:
Taking Antigrain Tablet with Tranylcypromine is not recommended, but it can be taken together if prescribed by a doctor. However, consult your doctor if you experience headache, confusion, blurred vision, problems with speech or balance, nausea, vomiting, chest pain, convulsions, and sudden numbness or weakness (especially on one side of the body). Do not discontinue any medications without consulting a doctor.
CaffeineIsocarboxazid
Critical
How does the drug interact with Antigrain Tablet:
Taking these two together can cause your blood pressure to rise, a condition known as a hypertensive crisis.

How to manage the interaction:
Taking Antigrain Tablet with Isocarboxazid is not recommended, please consult your doctor before taking it. It can be taken if your doctor prescribes it. Do not stop taking any medication without consulting your doctor.
ErgotamineTranylcypromine
Critical
How does the drug interact with Antigrain Tablet:
Coadministration of Antigrain Tablet and Tranylcypromine can increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Taking Tranylcypromine with Antigrain Tablet is not recommended, but can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucination(seeing and hearing things that do not exist), fits, blood pressure alteration, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting your doctor.
ErgotamineItraconazole
Critical
How does the drug interact with Antigrain Tablet:
The blood levels and effects of Antigrain Tablet may be greatly increased when combined with itraconazole.

How to manage the interaction:
Antigrain Tablet and itraconazole may interact, but if prescribed by a doctor, they can be used together. Consult a doctor if you experience a severe headache, shortness of breath, blurred vision, confusion, nausea, vomiting, numbness or tingling, muscle pain or weakness, blue or purple discoloration of the fingers or toes, pale or cold skin, or chest pain or tightness. Without first consulting your doctor, never stop taking medicines.
ErgotamineBromocriptine
Critical
How does the drug interact with Antigrain Tablet:
When these medications are taken combined, they can have an additive effect, causing severe constriction of blood vessels and decreased blood flow to the vital organs, which increases the risk of side effects.

How to manage the interaction:
Co-administration of Bromocriptine with Antigrain Tablet can possibly result in an interaction, but it can be taken if your doctor has advised it. If you have any of these symptoms, it's important to contact your doctor right away. These symptoms include pain in chest, severe stomach pain, feeling sick, numbness or tingling, muscle pain or weakness, fingers or toes turning blue or purple, pale or cold skin, chest pain, irregular heartbeat, intense headache, difficulty breathing, blurry vision, confusion, or trouble speaking clearly. Do not discontinue any medications without first consulting your doctor.
ErgotamineRasagiline
Critical
How does the drug interact with Antigrain Tablet:
Taking Antigrain Tablet and Rasagiline together can increase the risk of serotonin syndrome (A condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Taking Rasagiline and Antigrain Tablet is not recommended as it can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm, stomach cramp, nausea, vomiting, and diarrhea contact your doctor right away. Do not discontinue any medications without first consulting your doctor.

Drug-Food Interactions

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CAFFEINE-100MG+ERGOTAMINE-1MG+PARACETAMOL-250MG+PROCHLORPERAZINE-2.5MGFruit juices, Fruits
Moderate

Drug-Food Interactions

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CAFFEINE-100MG+ERGOTAMINE-1MG+PARACETAMOL-250MG+PROCHLORPERAZINE-2.5MGFruit juices, Fruits
Moderate
Common Foods to Avoid:
Grapefruit Juice, Grapefruit

How to manage the interaction:
Consumption of grape juice or grape fruit can increase the blood levels of ergotamine in the body. Consumption of grape juice increases the effect of caffeine. Limit your consumption of grapefruit and grapefruit juice during treatment with ergotamine and caffeine.

Diet & Lifestyle Advise

  • Maintain a healthy diet and exercise regularly as it helps in improving overall health and boosts self-esteem.

  • Avoid bright lights, loud noise, and extreme temperatures.

  • Perform meditation and yoga. This helps in relieving stress and provides relaxation.

  • Follow a regular sleep pattern to improve the amount and quality of sleep you get.

  • Massage your scalp to ease the pain.

  • Lie down in a quiet, dark room.

  • Avoid smoking, alcohol, and caffeinated drinks. 

  • Learn what triggers your migraine and try avoiding them.

  • Stay hydrated. Drink plenty of fluids.

  • Learn relaxation skills as they help in reducing stress.

Habit Forming

No

Therapeutic Class

ANTIMIGRAINE AGENTS

Antigrain Tablet Substitute

Substitutes safety advice
  • Vasograin Tablet 14's

    8.68per tablet
  • Vasograin Tablet 20's

    10.55per tablet
  • Migrafen Tablet 10's

    10.80per tablet
  • Nt Grain Tablet 10's

    4.77per tablet
  • Migrarest Tablet 10's

    8.42per tablet
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Alcohol

Unsafe

Avoid consumption of alcohol while taking Antigrain Tablet as it may cause increased drowsiness.

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Pregnancy

Unsafe

Avoid taking Antigrain Tablet if you are pregnant or planning for pregnancy. Please consult your doctor if you are pregnant or if you have any concerns regarding this.

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Breast Feeding

Unsafe

Antigrain Tablet may pass into breastmilk. Avoid taking Antigrain Tablet if you are breastfeeding.

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Driving

Caution

Antigrain Tablet may cause dizziness and drowsiness. Do not drive or operate machinery unless you are alert.

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Liver

Caution

Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Children

Unsafe

Antigrain Tablet should not be given to children as the safety and effectiveness were not established.

FAQs

Antigrain Tablet is used to treat and prevent migraine. It is used to relieve the symptoms at the first sign of a migraine attack and to prevent the worsening of the attack.
Antigrain Tablet contains Ergotamine, caffeine, prochlorperazine, and paracetamol. Ergotamine works by narrowing the blood vessels in the brain and also affects the blood flow patterns associated with headaches. Caffeine enhances the vasoconstrictive effect (narrowing of blood vessels). Prochlorperazine prevents nausea and vomiting associated with migraine by modifying the effects of neurotransmitters. Paracetamol blocks the release of prostaglandins that cause pain.
Dry mouth could be a side-effect of Antigrain Tablet. Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly and chewing sugar-free gum/candy might help in stimulating saliva and thereby prevents drying of the mouth.
Orthostatic hypotension could be a side-effect of Antigrain Tablet. Orthostatic hypotension is a sudden lowering in blood pressure leading to dizziness on standing. If you experience this, do not try to stand up suddenly or start walking, instead, lie down and get up slowly only when you feel better.
Do not discontinue Antigrain Tablet without consulting your doctor as it could lead to recurring or worsening of symptoms. To treat your condition effectually, continue taking Antigrain Tablet for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Antigrain Tablet.
Do not take Antigrain Tablet along with antibiotics (clarithromycin, erythromycin, troleandomycin), anti-fungal (itraconazole, ketoconazole) and anti-HIV medicines (indinavir, nelfinavir, ritonavir). Antigrain Tablet contains ergotamine and caffeine, which, when taken along with these drugs, could lead to unpleasant side-effects such as poor blood flow to hands, feet, or brain.
Antigrain Tablet may cause constipation. Eat high-fibre foods and drink plenty of fluids if you experience constipation. Talk to your doctor if the condition persists or worsens.

Country of origin

India
Other Info - AN78909

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